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1790567709
MITCHELL GATEWOOD
SHREVEPORT, LA
NPI
1790567709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-10-16
Last Update Date
2023-10-16
Business Address
MITCHELL GATEWOOD
1301 YOUREE DR
SHREVEPORT, LA 71101-5117
Phone number: 318-779-1867
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Mailing Address
MITCHELL GATEWOOD
1000 CHINABERRY DR STE 900
BOSSIER CITY, LA 71111-2455
Phone number:
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